Pharmacy Benefit Specialist-2
CareOregon(1 month ago)
About this role
A Pharmacy Benefit Specialist II at CareOregon works within the pharmacy benefits team of a health plan, focused on managing member prescription coverage under the major medical benefit. The role interfaces with members, providers, and pharmacies to support pharmacy benefit administration and adjudication processes.
Required Skills
- Customer Service
- Claims Processing
- Prior Authorization
- Formulary Knowledge
- Data Entry
- Microsoft Office
- Medical Terminology
- HIPAA Compliance
- Communication
- Critical Thinking
About CareOregon
careoregon.orgWhether you’re a current Oregon Health Plan (OHP) Medicaid member or want to become one, CareOregon is here to help you get the best health care.
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